A NOLA RESIDENTIAL SERVICE, INC. (NPI# 1598169369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598169369 |
Entity Type | Organization |
Organization Name | A NOLA RESIDENTIAL SERVICE, INC. |
Practice Address |
1851 Newt Patterson Mansfield TX 76063 |
Practice Telephone | 5044157267 |
Enumeration Date | 2014-10-22 |
Last Update Date | 2014-10-22 |
Authorized Official Name | TANEHA SUMMERS (PRESIDENT) |
Authorized Official Telephone | 5144157267 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Street Address |
1851 NEWT PATTERSON |
City | MANSFIELD |
State | TX |
Zip Code | 76063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
Find all providers in zip 76063 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083074199 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2954 Route 660, Mansfield, PA 16933-9024 | 2016-03-02 |
1518326198 | Martha Lloyd Community Residential Facility | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 84 7th St, Mansfield, PA 16933-1209 | 2016-02-11 |
1801124284 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 167 Poole Rd, Mansfield, LA 71052-5007 | 2009-11-24 |
1710215264 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Gibbs St, Mansfield, LA 71052-2618 | 2009-11-20 |
1891932398 | Richland County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 592 Evelyn Ave, Mansfield, OH 44907 | 2009-01-21 |
1861656340 | Martha Lloyd Crf 3rd Street | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 60 3rd St, Mansfield, PA 16933-1221 | 2008-07-15 |
1326202771 | Martha Lloyd Crf Fla Mansfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Pickle Hill Rd, Mansfield, PA 16933-9654 | 2008-07-15 |
1043472525 | Martha Lloyd Crf Atf Trans | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Saint James Pl, Mansfield, PA 16933 | 2008-06-26 |
1881855427 | Martha Lloyd Crf 1st Street | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 41 1st St, Mansfield, PA 16933-1211 | 2008-06-17 |
1477740520 | County of Richland | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 786 Ferndale Rd, Mansfield, OH 44907-1757 | 2007-10-02 |
Find all providers in MANSFIELD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.